Organization
TRIAD MOBILITY & SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERICK KOSGEI (PRESIDENT/OWNER)
(469) 531-1550
Entity
Organization
Contact information
Practice address
2378 CORPORATION PKWY STE D, BURLINGTON, NC 27215-6749
(336) 609-3126
Mailing address
121 WALNUT CROSSING DR, WHITSETT, NC 27377-9337
(469) 531-1550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
10/23/2020
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